CHRISTOPHER P KELLY (NPI# 1720122583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720122583 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER P KELLY |
| Credential | MD |
| Practice Address |
11464 S Parkway Plaza Dr Ste 300 South Jordan UT 84095-6053 |
| Practice Telephone | 8019878653 |
| Mailing Telephone | 8019878653 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2018-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
9258138-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588023857 | Christopher Kelly | Counselor | 630 Park St Apt B, Charlottesville, VA 22902-4642 | 2016-02-16 |
| 1538589486 | Christopher Kelly | Occupational Therapy Assistant | 10 Trap Rock Cir, New City, NY 10956-6919 | 2014-04-18 |
| 1093136558 | Christopher Kelly | Pharmacist | 4275 Summers Place Dr, Olive Branch, MS 38654-7284 | 2013-12-30 |
| 1548695380 | Christopher Kelly | Acupuncturist | 9 Chandler Rd, Andover, MA 01810-2814 | 2013-09-12 |
| 1588923247 | Christopher Kelly | Specialist | 475 Atkinson, 1405, Honolulu, HI 96814 | 2012-05-15 |
| 1356314991 | Christopher L Kelly | Specialist | 1830 14th Ave S, Birmingham, AL 35205-4969 | 2006-02-13 |
| 1073511788 | Christopher B. Kelly | Specialist | 3330 Preston Ridge Rd Ste 240, Alpharetta, GA 30005-4540 | 2005-07-07 |
| 1396741344 | Christopher Kelly | Ophthalmology | 366 Colt Hwy, Farmington, CT 06032-2547 | 2005-06-23 |
| 1649870536 | Christopher Francis Kelly | Physical Therapist | 4007 Merrick Rd, Seaford, NY 11783-2831 | 2020-10-29 |
| 1306443106 | Christopher Kelly | Physical Therapist | 205 Clark Ave Ste 4, Ames, IA 50010-3311 | 2020-10-05 |
| Street Address |
11464 S PARKWAY PLAZA DR STE 300 |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-6053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437216306 | Kimball M Crofts | Surgery | 385 W 600 N, Lindon, UT 84042-1330 | 2007-01-02 |
| 1508878372 | Jayant Prasad Agarwal | Surgery | Division of Plastic Surgery Administrative Office, 30 North 1900 East 3b205, Salt Lake City, UT 84132-0001 | 2006-08-12 |
| 1720005317 | Jason T Koo | Surgery | 13249 Cascade Glen Dr, Draper, UT 84020-7146 | 2006-07-17 |
| 1295705697 | Todd B Engen | Surgery | 1735 N State St, Provo, UT 84604-1010 | 2006-01-26 |
| 1538151063 | Allisyn Okawa | Surgery | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2005-08-19 |
| 1346633203 | University of Utah Dental Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-16 |
| 1275937088 | University of Utah Adult Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1538572169 | Vincent Surgical Arts, LLC | Surgery | 6710 S Blackstone Rd, Suite 201, Cottonwood Heights, UT 84121-6072 | 2014-06-11 |
| 1689906976 | Premier Plastic Surgery Group of Utah | Surgery | 11762 S State St Ste 220, Draper, UT 84020-7156 | 2010-02-11 |
| 1073729943 | Lauren Opal Florence | Surgery | 1250 East 3900 South, Suite #301, Salt Lake City, UT 84124-1362 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.